Healthcare Provider Details

I. General information

NPI: 1891112017
Provider Name (Legal Business Name): ICARE THERAPY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17838 HARPER RD
TINLEY PARK IL
60487-2139
US

IV. Provider business mailing address

17838 HARPER RD
TINLEY PARK IL
60487-2139
US

V. Phone/Fax

Practice location:
  • Phone: 708-291-0585
  • Fax: 815-550-8703
Mailing address:
  • Phone: 708-291-0585
  • Fax: 815-550-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. LALITHA R KARRA
Title or Position: PRESIDENT
Credential:
Phone: 708-291-0585